Elderbridge Agency on Aging

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ELDERBRIDGE AGENCY ON AGING

Practice address

22 N Georgia Ave
Suite 216
Mason City, IA 50401-3435

Phone

(641) 424-0678

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lahoma Counts

Title

Director

Phone

(641) 424-0678

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851442909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N GEORGIA AVE",
            "address_2": "SUITE 216",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013435",
            "telephone_number": "641-424-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N GEORGIA AVE",
            "address_2": "SUITE 216",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013435",
            "telephone_number": "641-424-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERBRIDGE AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "LAHOMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-424-0678"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133215",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Egesdal
• Emily Ehlke, LISW
• Jean C Eichmeier, PA-C
• Tara Eisenlohr, ARNP
• Hashim Z. Eldadah, M.D.
• Jon Elmore
• Megan Elsbury, PHARMD.
• Abdolhossein Emami-Ahari, M.D.
• Deborah Emarine, LMSW
• Keith Emerson, SA-C

• Case Management Agency in Mason City, IA
• Providers in Mason City, IA by specialty
• Case Management Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.